Publications by authors named "F Aaysha Cader"

27 Publications

Pre hospital delay and its associated factors in acute myocardial infarction in a developing country.

PLoS One 2021 24;16(11):e0259979. Epub 2021 Nov 24.

Department of Cardiology, Ibrahim Cardiac Hospital and Research Institute, Dhaka, Bangladesh.

Background: Early revascularization and treatment is key to improving clinical outcomes and reducing mortality in acute myocardial infarction (AMI). In low- and middle-income countries such as Bangladesh, timely management of AMI is challenging, with pre-hospital delays playing a significant role. This study was designed to investigate pre-hospital delay and its associated factors among patients presenting with AMI in the capital city of Dhaka.

Methods: This retrospective cohort study was conducted on 333 patients presenting with AMI over a 3-month period at two of the largest primary reperfusion-capable tertiary cardiac care centres in Dhaka. Of the total patients, 239(71.8%) were admitted in the National Institute of Cardiovascular Diseases, Dhaka and 94(28.2%) at Ibrahim Cardiac Hospital & Research Institute, Dhaka Data were collected from patients by semi-structured interview and hospital medical records. Pre-hospital delay (median and inter-quartile range) was calculated. Statistical significance was determined by Chi-square test. Multivariate logistic regression analysis was done to determine the independent predictors of pre-hospital delay.

Results: The mean age of the respondents was 53.8┬▒11.2 years. Two-thirds (67.6%) of the respondents were males. Median total pre-hospital delay was 11.5 (IQR-18.3) hours with median decision time from symptom onset to seeking medical care being 3.0 (IQR: 11.0) hours. Nearly half (48.9%) of patients presented to the hospital more than 12 hours after symptom onset. On multivariate logistic regression analysis, AMI patients with absence of typical chest pain [OR 5.21; (95% CI: 2.5-9.9)], diabetes [OR: 1.7 (95% CI: 1.0-2.9)], residing/staying > 30 km away from nearest hospital at the time of onset [OR: 4.3(95% CI = 2.3-7.2)] and belonged to lower and middle class [OR: 1.9(95% CI = 1.0-3.5)] were significantly associated with pre-hospital delays.

Conclusion: Acute myocardial infarction (AMI) patients with atypical chest pain, diabetes, staying far away from nearest hospital and belonged to lower and middle socioeconomic strata were significantly associated with pre-hospital delays. The findings could have immense implications for improvements about timely reaching of AMI patients to the hospital within the context of their sociodemographic status and geographic barriers of the city.
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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0259979PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8612565PMC
November 2021

Sealing the leaky pipeline: attracting and retaining women in cardiology.

Open Heart 2021 07;8(2)

Cardiology, Surrey and Sussex Healthcare NHS Trust, Redhill, UK

Multiple publications have addressed the under-representation of women in the cardiology workforce, and indeed in leadership positions and procedural subspecialities, despite gender parity among medical school graduates. The work-life balance does not appear to be the only determining factor since other specialties such as obstetrics have a adequate representation of women. Vlachadis Castles report the results from their online survey of 452 female doctors (both trainees and specialists) from Australia and New Zealand, 13% of whom were women in cardiology. Female cardiologists reported working longer hours and more on-call commitments; significantly fewer women in cardiology reported a balanced life, or that cardiology was family friendly or female friendly, despite a greater earning capacity and an overwhelming majority agreeing that they were professionally challenged whilst intellectually stimulated in their jobs. Our editorial addresses the deterrents to women in cardiology seeking leadership opportunities in all areas including academic, administrative and research positions.
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http://dx.doi.org/10.1136/openhrt-2021-001751DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8320255PMC
July 2021

How Feeling Like an Imposter Can Impede Your Success.

JACC Case Rep 2021 Feb 17;3(2):347-349. Epub 2021 Feb 17.

Department of Cardiology, St. Louis Heart and Vascular, St. Louis, Missouri, USA.

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http://dx.doi.org/10.1016/j.jaccas.2021.01.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8310963PMC
February 2021

Inaugural 'global women in cardiology early careers' case competition in collaboration with .

Eur Heart J Case Rep 2021 Mar 9;5(3):ytaa544. Epub 2021 Mar 9.

Department of Cardiology, Portsmouth Hospitals University NHS Trust, Portsmouth, Hamsphire, UK.

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http://dx.doi.org/10.1093/ehjcr/ytaa544DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7947567PMC
March 2021

To be, or not to be BAME, in the time of COVID-19: does it matter?

Heart 2021 05 8;107(9):692-693. Epub 2021 Mar 8.

Department of Cardiology, Surrey and Sussex Healthcare NHS Trust, Redhill, UK

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http://dx.doi.org/10.1136/heartjnl-2020-318884DOI Listing
May 2021
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